Welcome to the Clinical Update podcast – the weekly podcast that brings you thought-provoking clinical education from MIMS Learning, that you can fit into your busy life. The podcast is aimed at UK healthcare professionals and may count for up to 0.5 hours of CPD towards your appraisal.
We interview the experts to provide you with key insights linked to the e-learning on MIMS Learning and the education we deliver at our live virtual and in-person events. Our editors provide lively discussion of featured learning modules and of research from our regular monthly research briefings.
Topics covered include primary care, dermatology, oncology, diabetes, cardiology, gastroenterology, mental health, respiratory medicine and women’s health. Dive in, learn in a new way and get inspiration for your daily practice.
Hosted on Acast. See acast.com/privacy for more information.
Welcome to the Clinical Update podcast – the weekly podcast that brings you thought-provoking clinical education from MIMS Learning, that you can fit into your busy life. The podcast is aimed at UK healthcare professionals and may count for up to 0.5 hours of CPD towards your appraisal.
We interview the experts to provide you with key insights linked to the e-learning on MIMS Learning and the education we deliver at our live virtual and in-person events. Our editors provide lively discussion of featured learning modules and of research from our regular monthly research briefings.
Topics covered include primary care, dermatology, oncology, diabetes, cardiology, gastroenterology, mental health, respiratory medicine and women’s health. Dive in, learn in a new way and get inspiration for your daily practice.
Hosted on Acast. See acast.com/privacy for more information.
In this episode of the Clinical Update podcast, MIMS Learning medical editors Sangeeta and Dawn discuss the management of thyroid and hypertensive disorders during the antenatal period, including latest guidelines and prescribing recommendations.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Practice on a page: hypertensive disorders of pregnancy
Understanding and managing fertility and pregnancy in thyroid disease
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Pat from MIMS Learning speaks to GP Dr Pipin Singh about diagnosis, management and referral in this episode of the Clinical Update podcast.
Dr Pipin Singh presents a way through the diagnostic maze, emphasising the need to distinguish between acute and chronic presentations, and the importance of taking time to get to the bottom of chronic symptoms.
His thorough discussion of this topic emphasises the importance of continuity of care in conducting examinations and investigations, the myriad of possible causes to consider, and how to approach lifestyle measures and prescribing medication.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Benign prostatic hyperplasia: clinical review
Lower urinary tract symptoms in men - red flag symptoms
Lower urinary tract symptoms: a clue to underlying diseases
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Dementia is a major challenge for the NHS, with one in six people in their eighties developing the condition. For many people, fear and stigma surrounds the condition, so the GP's role as the first port of call is crucial.
In this episode of the Clinical Update podcast, MIMS Learning’s Rhiannon and Sangeeta draw on the expertise of MIMS Learning’s professional clinical writers and speakers to discuss how primary care can approach the initial assessment process, key differentials such as delirium and depression, and important modifiable risk factors, including hearing loss.
This episode also covers the challenge of 'therapeutic nihilism', latest research on antipsychotic use, and practical approaches to polypharmacy in patients with cognitive impairment.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
Presenters
Rhiannon Ashman
Deputy editor, MIMS Learning
Sangeeta Krishnan
Medical editor, MIMS Learning
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Guidance update: SIGN guidelines for support of people with dementia and their carers
Case series: polypharmacy in older people with mental health conditions
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‘Alcohol use disorder is very, very prevalent and the harm occurs long before people have physical dependence,’ Dr Steve Brinksman says in this episode of the MIMS Learning Clinical Update podcast.
He adds that if patients are concerned that they are drinking too much, they may hesitate to raise the issue with their GP because they might fear being told to stop drinking completely, and GPs may feel ‘uncomfortable’ about asking people how much they drink because alcohol misuse is ‘a common problem’ within the profession.
Dr Brinksman, who worked as a GP for 30 years, says that GPs should encourage colleagues to seek help if they feel they have problems, and can encourage many patients to cut down rather than cut out alcohol completely. ‘If you are drinking 50 or 60 units a week, then you reduce your harm by cutting down even to 40 units a week,’ he explains.
The episode also reviews how to assess alcohol misuse, how to advise patients to cut down, and how to support patients with severe dependence.
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning — and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Abnormal liver function tests: case-based discussion
Foetal alcohol spectrum disorder
Smoking cessation for people with mental illness
Smoking, alcohol and psoriasis
MIMS
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In this episode of the Clinical Update podcast, MIMS Learning editor Pat Anderson and deputy editor Rhiannon Ashman discuss chickenpox and shingles, their prevention, diagnosis and management.
This podcast draws on the expertise of MIMS Learning’s professional clinical writers and speakers, to bring you key learning points on prevention, diagnosis and management.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Shingles and post-herpetic neuralgia clinical review
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In this episode of the Clinical Update podcast, guests from Future Dreams and Breast Cancer Now talk to MIMS Learning deputy editor Rhiannon Ashman. In the first section of this podcast, you'll learn about the varied presentations of breast cancer and how to sensitively approach consultations with breast cancer survivors. In the second section, the podcast focuses on signs and symptoms of secondary breast cancer, with insights into patient experience.
Part 1: 1.13 – 25.09: lead clinical nurse specialist Jackie Wright, and Amanda – who was diagnosed with breast cancer at the age of 42 – consider how to encourage people to open up conversations with family about medical history, and discuss access to genetic testing.
They also offer tips on self-checking, and how to support patients. Speaking about the health anxiety many patients with a history of cancer feel, and the importance of compassion from primary care, Amanda says, ‘I just feel that that understanding is priceless’.
Part 2: 25.09 – 56.59: Catherine Priestley, senior clinical nurse specialist for secondary breast cancer, and Laura Price, author of the novel Single Bald Female, who is living with secondary breast cancer, discuss signs and symptoms of secondary (metastatic) breast cancer. They remind GPs that ‘low risk is not no risk’, and that secondary breast cancer can occur decades after the original diagnosis.
Laura draws on her experiences to provide some useful insights into how GPs can gather information on, and prioritise, often vague collections of symptoms, and on taking seriously patients’ concerns without being swayed if a patient ‘self-diagnoses something that's actually much less serious than the thing that it could be’.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Breast cancer: clinical review
Podcast: interview with oncologist Dr Jay Naik
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In this episode of the Clinical Update podcast, MIMS Learning’s medical editor Sangeeta Krishnan and editor Pat Anderson discuss neurodiversity and how to approach consultations with neurodivergent patients.
This podcast, which includes excerpts from a MIMS Learning interview with Dr Heidi Philips, founder of the British Association for Neurodiversity, discusses common neurodivergent conditions like autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD).
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Thinking neurodiversity in general practice with Dr Heidi Phillips
Test your knowledge of neurodiversity
Guidance update: latest NICE guidelines on neurological conditions
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One in five children and young people have a diagnosable mental health condition. In this episode of the Clinical Update podcast, GP DrAmina Al-Yassin, clinical lead for Children’s Services in the London borough of Brent, talks to medical editor Sangeeta Krishnan about why prevalence is increasing, key risk factors, the importance of early intervention, and practical tools GPs can use to support their young patients.
Dr Al-Yassin also looks at the effect of the COVID-19 pandemic and early childhood experiences, especially the crucial early period of life, on mental health in young people.
After listening to this podcast, healthcare professionals should be better able to:
You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
THIS PODCAST IS INTENDED FOR HEALTHCARE PROFESSIONALS. IF YOU ARE EXPERIENCING THOUGHTS OF SELF-HARM OR SUICIDAL IDEATION, PLEASE SEEK HELP FROM THESE RESOURCES:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Self-harm in children and young people
OCD in children and adolescents: clinical review
Eating disorders: clinical review
MIMS
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The traditional approach to up-titrating medication in chronic kidney disease (CKD) has been slow and cautious, meaning that many patients do not attain maximal benefits, and this is something ‘we need to change’, Dr Andrew Frankel says in a new three-part podcourse on CKD.
This series is exclusive to MIMS Learning subscribers and follows the case of a patient with CKD, from initial diagnosis to the management of end-stage disease. Learners will be able to read and download practical worksheets and test their knowledge with multiple choice quizzes.
Ensure you are up to speed with all the key points primary care professionals need to know about CKD at mimslearning.co.uk.
Click here to sign up and listen now. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Podcourse: part 1 - diagnosis and classification of CKD with Dr Andrew Frankel
Podcourse: part 2 - monitoring and management of CKD with Dr Andrew Frankel
Podcourse: part 3 - advanced management of CKD with Dr Andrew Frankel
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The Government’s 10-year plan for the NHS (‘Fit for the future’) has a dedicated section on prevention, including a ‘moonshot’ to end the obesity epidemic. But what is the role of GP in the prevention of cardiovascular disease (CVD)?
In this episode of the Clinical Update podcast, the MIMS Learning editors explore NICE recommendations for combination therapy to help patients achieve lipid targets for secondary prevention, the promotion of SGLT2 inhibitors to first-line options for both heart failure and type 2 diabetes, and the differences between UK and international guidelines on hypertension.
Additionally, given obesity is a huge risk factor for CVD, the editors review how the management of obesity must encompass more than just GLP-1 medications.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Guidance update: latest NICE guidelines on cardiovascular disease risk assessment and reduction
Guidance update: NICE guidelines on hypertension
Podcast: Dr Toni Hazell on weight loss injections and women’s health
Podcast: stress and its effect on the heart
MIMS
NICE confirms first-line role of SGLT2 inhibitors in final heart failure guidance
Monitoring requirements for hyperlipidaemia treatments
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The updated NICE guidance on asthma is ‘absolutely superb’, advanced nurse practitioner Beverely (Bev) Bostock tells Dawn Liz Powell in this episode of the Clinical Update podcast.
She explains that the guidance could help to improve asthma outcomes in the UK. ‘We’re right at the top of the league for poor outcomes with asthma, and I suspect that that’s about to change because we’ve finally taken on the approach that has been used in other countries,’ Bev adds.
She also talks about identifying occupational asthma, the diagnosis and management of COPD, the NHS lung cancer screening programme, and the need to keep the lungs clear of sputum in people with bronchiectasis.
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning — and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Guidance update: BTS/NICE/SIGN guidelines on diagnosis, monitoring and chronic asthma management
Podcast: Dr Cara Bossley on asthma in children
MIMS
Combination inhalers for the treatment of asthma
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In this episode of the Clinical Update podcast, MIMS Learning editor Pat Anderson and medical editor Dawn Liz Powell discuss common and less common presentations of nasal problems.
This podcast draws on the expertise of MIMS Learning’s professional clinical writers and speakers, to bring you key learning points on nasal problems. Potential problems include loss of sense of smell, obstruction, discharge and pain, with a large variety of potential causes. Some patients, including older people and those of Chinese heritage, may be more at risk of malignancy.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Nasal problems - red flag symptoms
Guidance update: latest NICE guidelines on neurological conditions
Facial pain - red flag symptoms
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In this episode of the Clinical Update podcast, GP and RCGP safeguarding lead Dr Joy Shacklock talks to medical editor Sangeeta Krishnan about safeguarding children in primary care.
She shares insights into the roles and responsibilities of GPs and other healthcare professionals, , the importance of accurate documentation, and steps to take when a safeguarding concern arises.
After listening to this podcast, healthcare professionals should be better able to:
You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Podcast: skin conditions in infants and children
Paediatric dermatology in skin of colour
Resources on adult safeguarding
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Sexual difficulties are common — around 50% of women and 40% of men in Britain experienced sexual difficulty in the past year, according to the National Survey of Sexual Attitudes and Lifestyles. However, both patients and clinicians can find it difficult to initiate discussions about sexual function, and these issues often go unmentioned in primary care.
In this episode of the Clinical Update podcast, the MIMS Learning editors highlight communication techniques and consultation skills. They also discuss key presentations in both men and women in primary care, including painful intercourse, low libido, and premature ejaculation, as well as the important link between erectile dysfunction and cardiovascular risk.
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Psychosexual disorders in women
Premature ejaculation: clinical review
Dyspareunia in women — red flag symptoms
Understanding sexual dysfunction in women with diabetes
Erectile dysfunction - red flag symptoms
Podcast bonus episode: Dr Olivia Hum on the latest in menopause management
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Cardiovascular disease (CVD) kills more women each year than all types of cancer combined, yet it may be under-recognised and under-treated in women. GP Dr Suneeta Kochhar offers practical advice on how GPs can address this.
Speaking to MIMS Learning medical editor Dawn Liz Powell, Dr Kochhar explains that the reasons for this include women continuing to be under-represented in clinical trials, certain symptoms presenting differently in women compared with men, and women themselves being unaware of their risk of developing CVD.
Other topics discussed in the episode include how risk factors such as type 2 diabetes play a greater role in the development of CVD in women than in men and how chest pain — the most common symptom of myocardial infarction in both men and women — may be more diffuse in women.
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning — and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Chest pain - red flag symptoms
Coronary artery disease in women
Ischaemic heart disease: clinical review
Podcast: causes of stable chest pain
MIMS
‘We’re perpetuating the increased risk’: Addressing unequal lipid management in women with CVD. October 2024.
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Not all people who present to their GP with low mood will meet the threshold for clinical depression, given distress or sadness can be a normal, even expected, response to a difficult life event (such as bereavement).
In this episode of the Clinical Update podcast, the MIMS Learning editors look at how to distinguish distress from more severe forms of depression, and how management of depression depends on the severity. They explore the role of antidepressants and how/when they should be withdrawn.
The effect that more severe depression can have on a person’s life is also reviewed, including how GPs can sensitively identify if a person with depression is experiencing thoughts of self-harm.
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
After listening to this podcast, healthcare professionals should be better able to:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
THIS PODCAST IS INTENDED FOR HEALTHCARE PROFESSIONALS. IF YOU ARE EXPERIENCING THOUGHTS OF SELF-HARM OR SUICIDAL IDEATION, PLEASE SEEK HELP FROM THESE RESOURCES:
MIMS Learning
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In this episode of the Clinical Update podcast, GP and associate specialist in dermatology Dr Angelika Razzaque delves into the most common acute skin conditions seen in general practice.
She shares her valuable insights on diagnosing and managing a range of these conditions, from impetigo to topical steroid withdrawal and severe drug reactions.
After listening to this podcast, healthcare professionals should be better able to:
You can access the website version of this podcast on MIMS Learning to make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Case study: topical steroid withdrawal
Skin rashes - red flag symptoms
Eczema management: latest therapies
Skin conditions: it’s all about the face
Common conditions in skin of colour
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In this episode of the Clinical Update podcast, the MIMS Learning team discusses red flags and risk factors for gynaecological cancers.
Over 22,000 women are diagnosed with a gynaecological cancer in the UK every year. In this episode of the Clinical Update podcast, the MIMS Learning editors consider when to investigate postmenopausal bleeding, the impact of combined oral contraceptives on cancer risk, and counselling those with a positive HPV result on cervical screening.
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
This podcast forms part of MIMS Learning’s 2025 editorial campaign: Patient, Presentation, Pathway for Cancer, featuring free, cancer-related CPD.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Cervical cancer: clinical review
Ovarian cancer: clinical review
Menstrual disorders: endometriosis, postmenopausal bleeding and gynaecological cancers
Research round-up: ovarian cancer
Addressing patient concerns around cervical cancer
Further resources
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In this episode of the Clinical Update podcast, GP Dr Toni Hazell talks to MIMS Learning editor Pat Anderson about obesity, women’s health, and the use of weight loss medications by people who may be taking hormones for contraception or menopause.
Dr Hazell talks about the nature of obesity and its effects on people’s lives, including the ‘heartbreaking’ stigma that they may experience. She says that newer weight loss medications such as GLP-1 agonists or dual GIP/GLP-1 agonists are a ‘game changer’ for many people.
However, there are considerations around the potential effect of newer weight loss medications on the absorption of hormones from oral contraceptives and oral components of HRT, which GPs need to be clear on.
Dr Hazell provides practical tips for primary care and signposts useful guidance that will help them best support people who could be affected by these issues.
You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Podcast: focus on contraception
Complex contraception scenarios part 1
Answering patients’ questions on intrauterine contraception
Podcast bonus episode: Dr Olivia Hum on the latest in menopause management
Guidance update: NICE guidelines on menopause
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In this episode of the Clinical Update podcast, the MIMS Learning team discusses presentations of fever, and accompanying symptoms for GPs to look out for that could indicate potentially serious disease.
Fever is a common symptom discovered during a GP consultation, and may be an indicator of potentially serious disease. MIMS Learning editor Pat Anderson and medical editor Sangeeta Krishnan look at red flags associated with fever, possible causes in adults and children, when to suspect sepsis, and recommendations around the use of scoring tools in general practice.
You can access the website version of this podcast on MIMS Learning to get key learning points and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.
Educational objectives
After listening to this podcast, healthcare professionals should be better able to:
Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.
MIMS Learning
Fever in adults - red flag symptoms
Patient, presentation, pathway for cancer
Leg ulcers: part 2 - treatment and referral
Testicular pain and lumps - red flag symptoms
Guidance update: NICE guidelines on sepsis
Fever of unknown origin in children - red flag symptoms
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